HomeMy WebLinkAbout0125217-Plumbing (water heater)
G
OSHKOSH
ON THE WATER
Job Address 1051-1061 W SOUTH PARK AVE
CITY OF OSHKOSH
PLUMBING PERMIT - APPLICATION AND RECORD
No 125217
Contractor J RASMUSSEN PLUMBING INC
Owner PHILLIP R RUEDINGER
Create Date 06/07/2007
Category 411 - Residential-Water Heaters
Bathtub
Whirlpool
Lavatory
Toilet
Res. Sink
Bar Sink
Water Heater
Site Drain
Roof Drain
Misc.
Fixtures
Use/Nature
of Work
Shower
Floor Drain
Lndry Tray
Disposal
Dishwasher
Sump Pump
Classrm Sink
Breakrm Sink
Ejector/Grind
Water Softner
Local Waste
Clothes Wshr
Bidet
Beer Tap
Lab Sink
Sterilizer
Dip Well
Drink Ftn
Plan
Wait. St.
Ice Chest
Exam Sink
Sculry Sink
Hand Sink
Plaster Sink
Surgeons Sink
F Prep Sink
Serv Sink
Shamp Sink
FlrlWst Sink
Catch Basin
Wash Ftn
Urinal
Standp Rec
Ice Maker
Gar Drain
Soda Disp
Coffee Maker
Int Grease Trap
Ext Grease Trap
RPZ Valve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
Multifamily (#1059) / Replace electric water heater. EIV provided by Schafer Electric. **DEBIT ACCT**.
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Parcel Id #
1307340900
Valuation
Issued By
$600.00 Plan Approval
~
$0.00 Permit Fees
$25.00 D Permit Voided I
Date 06/07/2007
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the
easement holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 1914 GREENBRIAR TRL
OSHKOSH
WI 54904 - 8887 Telephone Number 920-233-6747
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~
:::
06/06/2007 16:52 2336747
J RASMUSSEN
City of Qfilhkmln
l.nsprot,j,,1<l Services Dh'i:,icw
PO&x 1.130
():JhkO('lh, W15490~..'Il.:\O
Phc.t:le: (nO) 23/k'lO:'\O
Fax: (92Q) 2,36,,5084
Plumbing Permit AppUcation
PAGE
01/02
~
r)~FJg~(
l{J:T~.'r. .~)
1 hC1'Cby ~:ppl)l f(\1' ~ pe:l~,:njt, t.o do FInd in~r:'l.ll tht: (o.lkl,;(,in~ ])ll.l,rlhin,g Ol:l th<!l pl'el"liM~-l bf.lTei,!1<t:fl/Zr desC'.r~he({, thi:l w<wl~ l(1l cOlrfom,l',(' the
Wi~.oon~il) ~1:~l.~e Ph.'1,11b~\1,g (;Nk, il. dl<'1 l)erfbr\\1:JJlI,1C ofwbid~ iillJ pll.nk"l hC.l'Oi:I.' 1.j.f\,'(ll:: to <md ~.re om.m.d hy ~~.i.d ~1:ll,11!t~:;~.
.. Applk.P.ltl:o;l1){s.) ~~,d j~e(s) cm. bel h'l'()ught l.O City PI(l.l.l, .Ro('Dlln 205 '\.):1;' mailc~d to. Ini';pe(.~t.i(Jj'\ R0tvi{)cI:J, POI :Box ~ :\ ;!..R,
Ol1tokOOib, WT. 5490J..I1.7-11.. (:ommencin:g W',11'1, withml!; p~;rmi1:(s) win rc<;ult; in fcC;':i' hdng dmibled or $1.00.00 plu:~ th"l
nOI1Uall'lc;:-l:m'i,t 'fuc, '\:vhir.,h ever h g,Xc:",r.c;r, '/-
r . /
/LJ!.~u .r!L..","~!J1V1ar' i~!"<ill-'1f'-'!!-! "'J'..~r-"11!.~'""' L'i,,"Oll", <!!!d_",,-,,<..IiM-WU" !L4',-1!p-,,,,,-h.w;
_i.l.JLf2JL\'''!..{J!JLJAi,~ ..LU:Jl.f (:;M.J!.JJ_)f:1.t_Qyg..JL1~Q H.r:..!lil..Q Q.1:f1:I.L.. ,11.1
.J~b A(Mrr~~,\\_._.......LJ?.Ej,__,_.~-~~-_!._~~ It Vahn~~ (lndlldiI1/l, 1~1'1ll' 1lI\(1I'1w<:";"I..)__.6_~~_=...~_,____. D:9cttf:.._f.::::,7-=,~_2_..
it ~ .-.."/-- (") C .t." Pl .~ ,
Owne~'.....____,,,:,::__.__.J.~...:J.;:L......._.. ()r~~~tr~!~t.ijIIr ._,__":::;l._~._.~~)..~-~",,~.:!:_.:?--:: ~:!_.._...: ._~l'!-_'.:_:t.!:!.5:::..:-
DSinglc F~mjly [JD~])n~x pgM.~d1ti-li'amfi~~l [JR~1l1It:~~p. [JCn~mm~rcf.Q~ []bl\ll~R~tr~~ij
n~Rn(Vm 1 {)ri.nlr p!", (',1\11::.1\ f:l~",j"
()i~hwl,~h"" \IVHft, f.~I' ',1\1;'1.1> Fin
Sml'ii' I'll'''!.' kc("hom (Mn",l
r\k~I:llrlCiril1l~ E1I1\I1lGill1-: (111.1' nl'.,!n
,:'J$tr:r Soft:llcr 8r.lilry Sink 51"d~nilll'
r,_ilc,,,.l \V"~.~'C: Tinll,1l f,\l1I{ ClY('I~~. M ~kt;I'
Clnlh,,~ W~hr ~.; 1\'(1) ~;"I, COI\-'I'I1. k:<~. Male",,.
[~irkl: :'(/11" ~;liI<: :'l;rc.I)~ni"
V,k.lll' Tor, f.r11 nre.~Ro.. 'r'I'''I~ RC)(lf l)min
(:I;I~~t'm Sh\l< 1~:I" nfl~ORa Trnp g;~I,dp n l'~('.
::I"rJ:?".II\\~ gink R.T' Z.. Vnh.~ Fyc W .,gh ~ll.n
f~l'('.f(kt:'" $1.,1< ::lhl!l'np ShIll Wp: SeWo.r Mtr~
r);~'l '{"Ve:H PIJ'!W~l ,,,<in~ Dcr!l\~.T Mlcrl1Jr~
HMC ni"f~ Wfr U"'~g~ M'f~
I\Tumb~r I()fFh::ture~:
e~.f:hl\lb
WIlidp0<)1
Lfj.~I;1.trJry
Tailr:l.
Rr.8. Sinl,
B~r :'link
Ws.l"'rNlloJm __.... .C..
U G~f~ l.iJ3k..;.; I J I'WI'V~l.
Sh{nlff.~r
FlO(lI'T)\,nh,
Lndl'Y 'rl'~;Y
Lab ~i11[(
r'lq~l'el' Sinl..
SI'tl1i1izr..r
Mi~,;,
Fh,"b~~~
:Elecll'tc C(l,ntll"'.Ile;'~:4{tI1T
Ql
[' J[~~~ld:de ~.n.R~:~]R9>ti:fiml V~d~(.ad""t.f! 'f.n.nn :il\U:n~h€'.ltl
(l i' RClpl:'l:<lfflonl:\
,,,_.,-~..._....,.._._-_...'~' ~... ..._--~.'-"'-_.""'.
U fJ~ I. N a~a1r~ ~~f W ~Jr~~ _.......___ -~-!!::f....J.'::.-~-_......, ,._~~ ^:i.___...~_._I:f~...._.._.__..,_.__._.._......"-_._--,,...._--_..-,. ,-.-..-"..-"
~,,- ..I."-'..-;,.._......."._.~....__. .-.--..~-........ ..--...-. ..- .....".....---.... ". .~.....-._.". .... ~
._1."",..- 'M'.___" ....,....._.. "M ...._M.M......;
, ._.-t;;;;~:...f:yi:~~..l
,"i i7.". M ~J:!r~ri :;. J
Type
N
SanlTillY Sr.we"
Storm s<:wer
W~Ker fk..,il;(~
,.'. "" .._M........"...... ..... ..._._.". ...._~.,.... .,,- ...-.. '" , .-.....,--..".,.., .-
,,-..----.........--..-.-.....,-.-......... .,. -.-.-.-....... .--.-........... .......---.....-,...,. .-.. .__......
(
\"\
. j}
;)0
\
Il./M',
05/05/2007 15:52
2335747
J RAStvlUSSEN
PAGE 02/02
~
~
OJH<O.fH
ON THE WATF.I>
Cily ofO~hko"~
Division or 1ll.~<:I;nl1 SeIvi~<:"
21$ Ch~h ^v"nll~
PO 130.1130
Or.hko$h WI 54902.' DO
Offioo 920-:236-5050
Fax nO-236.50R4
Electric Installation Verification
~e)
4r I:~ ~.
- - - (Electrical Contractor Name)
~ 8 {, l' /.,& Jf'.I J
(Address) f
7/~
(City)
all:
(State)
S- Y9S'"
(Zip Code)
have been contracted to .perform electric installation work for t?~ ~<fIi
(Name of party contract. d to)
at the following address:
/IJSf W; ~ p~
(Address where work will be performed)
-'
The nature of the work.consists of: (Check One or Describe the Nature of Work)
=2
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding I soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances I fixtuTes.
Other
The va.lue of this work is $ -.2S .~.
I hereby verify this work will be performed by an employee of this company and fu.rther verify the
reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
.~f6'" S.....h~-f~
(Print Name of Officer)
~. 'ABJ_
(Date)